centre for clinical skills & simulations · 2015. 9. 29. · basic surgical skills 90 60 ug’s...

SRI DEVARAJ URS ACADEMY OF HIGHER EDUCATION AND

RESEARCH

KOLAR

CENTRE FOR CLINICAL SKILLS & SIMULATIONS


VISION

“To create complete medical professional imparting essential clinical skills in

order to enhance safety during patient care.”

MISSION

“To Provide hands-on learning experiences to medical fraternity for

the practice of clinical skills, which are deemed essential for the

effective and safe management of patients”.

OBJECTIVES

Improve clinical skills with aid of simulators or simulated patients.

To impart student - centred and problem based learning.

To provide an opportunity to integrate different subjects and

disciplines, propagate concept of scientific basis of clinical

practice.

“GOOD JUDGEMENT COMES FROM EXPERIENCE & OFTEN EXPERIENCE COMES FROM BAD JUDGEMENT”

INTRODUCTION

Learning is a continuous process in the field of Life Sciences. A clinician has to

undergo training to upgrade their skills periodically to keep pace with the advances in

medicine and changes in protocols.

Availability of resources to practice in terms of patient and the issues related to

perfection of skills is answered by practicing on manikins under supervision of a skilled

certified trainer.

To make effective application of skills, practice is necessary to be perfect. Before

practicing on patients the clinician has to perfect his skills on manikins under the guidance

of a trainer, get certified and practice.

Simulation is now rapidly becoming an important and integral adjunct to medical

education and training. The need to professionalize medical education and training has

seen the advent of medical simulators and manikins as a preferred choice for training.

Simulation has made it possible for an Apprentice to acquire, practice and become

proficient on demand, besides meeting the critical requirements of various clinical

competencies.

It will be an Integration of Education, Practicality, Assessment and Safe Practice in all

medical & surgical subjects.

Regular CPCR programs were being conducted from October 2009 at RL Jalappa

Hospital till June 2014 by Department of Anaesthesiology. Around 1000 people have been

trained which included Interns, Post Graduates, Nursing Staff, Paramedics and general

public.

The novel idea of providing such skills under one roof was initiated by our Hon’ble Vice

-Chancellor, Prof P.F. Kotur. Under his guidance, the new state of art “Centre for Clinical

Skills & Simulations” (CCSS) was established and inaugurated by Dr. Sharan Prakash Patil,

Hon’ble Minister of Medical Education, Government of Karnataka on 2nd August 2014.

This laboratory was built in an area of 337 Sq. Meters which comprises of Dry / Wet

Labs, Conference Halls, Simulator and Endotrainers room.

The primary focus of this laboratory is to provide training to Undergraduates,

Postgraduates, Interns, Nursing Staff, Medical faculty and paramedical personals in various

diagnostic and procedural skills with the aid of simulators and manikins.

This laboratory caters to the needs of all the clinical departments. The monitoring

committee headed by Prof. A. Bhaskaran, Vice Principal consists of all the Heads of the

Departments and other enthusiastic and focused faculty members.


MONITORING COMMITTEE

SL NO NAMES DESIGNATION

1. Dr. A. Bhaskaran Director

2. Dr. K. Dinesh Member

3. Dr. Prabhakar. K Member

4. Dr.Mohan Kumar.K Member

5. Dr. Munikrishna.K Member

6. Dr. Arun.H.S Member

7. Dr. Kanthamani.K Member

8. Dr. Azeem Mohiyuddin.SM Member

9. Dr. K.N.V. Prasad Member

10. Dr. Pushpa.P. Kotur Member

11. Dr.Raveesha.A Member

12. Dr. K.C Prasad Member

13. Dr. Ramesh Babu Homanna Javali Member

14. Dr. M. Ravi Member Secretary

Following are some of the skills facilitated by the Skill Lab

CPCR program is being conducted for UG’s / PG’s / Interns /Medical faculty

/ Nursing / Paramedics / and general public.

For PG students

For UG students

I. Suturing and knotting. II. Laparoscopic Skills.

III. Intestinal/vascular anastomosis. IV. Abdominal/thoracic paracentesis. V. Principles of fracture fixation.

VI. Neonatal resuscitation. VII. Otoscopy/laryngoscopy/rhinoscopy

VIII. Epidural Anaesthesia Simulation

IX. Endotracheal intubation. X. CVP access,

i. Catheterization. ii. Suturing and knotting.

iii. IV access, iv. Labor techniques v. Episiotomy

vi. Nasogastric tube insertion vii. Heart & Breath sounds

simulation. viii. Optical functions of the

eye.

Activities Conducted From October 2009 to June 2014 Venue:- skill lab – R L J H

SL.NO DATE Activity /Dept No. of Delegates

Delegates

1. 20-10-2009 CPCR/ Anaesthesiology 30 Interns

2. 11-03-2010 CPCR/ Anaesthesiology 40 Interns, Staff Nurses



5. 29-10-2011 31-10-2011

CPCR/ Anaesthesiology 30 34

Interns

6. 16-06-2012 CPCR/ Anaesthesiology 30 Anaesthesiology PG’s

Paramedics, Manifold staff


8. 22-02-2013 23-02-2013

CPCR/ Anaesthesiology 45 44

Interns



11. 19-07-2013 OBG Basic Surgical Skills

20 PG’s & Staff





16. 21-06-2014 CPCR/ Anaesthesiology 30 Interns, PG’s

Activities Conducted at Centre for Clinical Skill & Simulations (CCSS) From May 2014 to September 2015

SL NO DATE DEPARTMENT WORKSHOP No. of Participants

Delegates

1. 15-05-2014 Anaesthesiology CPCR 24 Interns




5. 20-04-2015 Paediatrics Paediatrics BLS 26 PG’s

6. 23-04-2015 Demedcon 2015 CPCR Basic Surgical skills

90 60

UG’s

7. 21-10-2014 Orthopaedics Boning up of

osteoporosis 50 PG’s, Staff


9. 09-09-2015

To 14-09-2015

Anaesthesiology BLS 147 Staff nurses

10. 11-09-2015 Surgery Basic Surgical Skills, Laparoscopy Skills

25 PG’s, Staff

Calendar of Events 2016

Sl

No: Participants Date

Duration &

No: of

Participants

Batches Skills

1 Under

Graduates-

(8 term)

05-02-2016

06-02-2016 &

02-09-2016

03-09-2016

2days

(30-40)

Regular

Odd

CPCR,

Basic Surgical skills,

Procedural Skills

2

Interns

01-04-2016

02-04-2016 &

14-10-2016

15-10-2016

2days

(30-40)

Regular

Odd

CPCR,


Procedural Skills

3 PG’s

( Pre & Para-

Clinical)

25-07-2016

1day

(30-40)

-- CPCR

4 PG’s

(Sur & Allied)

(1st

Year)

18-07-2016

19-07-2016

2days

(30-40)

-- CPCR,


Procedural Skills

5 PG’s

(Sur & Allied) (II

nd & III

rd Yr)

01-07-2016

02-07-2016

2days

(30-40)

-- Basic Surgical skills,

Procedural Skills

6 PG’s

(Med &

allied)

(1st

Year)

15-07-2016

16-07-2016

2days

(30-40)

-- CPCR,

Procedural Skills

7 PG’s

(Med &

allied) (II

nd & III

rd Yr)

22-07-2016

23-07-2016

2days

(30-40)

-- Procedural Skills

8 Staff

( Pre & Para-

Clinical)

02-01-2016

1day

(30-40) -- CPCR

9 Staff

( Clinical)

04-06-2016 1day

(30-40) -- CPCR

10 Nursing

Students

06-08-2016 1day

(30-40) -- CPCR

Procedural Skills

11 Nursing Staff 04-11-2016

05-11-2016

2days

(30-40) -- CPCR

Procedural Skills

Basic surgical skills training

CPCR workshop

Orthopaedics workshop

Basic laprascopic training with endotrainers

Basic surgical hands-on training

Suturing and knotting techniques

Brief report of the activities conducted

CPCR programs were initiated to train interns, post graduates, staff Nurses

and paramedical personnel, which will enable them to apply proper resuscitation

methods in practice. CPCR programs were regularly conducted by a team of

Anesthesiologists and Intensivists.

Dr. A. Bhaskaran Professor of Surgery, underwent training course in

providing ‘Basic Surgical Skills’ at Ethicon Institute of Medical Education, Chennai.

Dr. Dinesh.K and Dr. Ravi .M, Professors of Anaesthesiology underwent

training at St john’s Medical Collage, Bangalore under AHA and were certified by

AHA as Providers of BLS & ACLS.

Dr. Thippe swamy, Resident in Emergence medicine underwent training at

“Medical colleagues CPR Institute” Hyderabad and was certified as Instructor for

BLS & ACLS.

So far about 1000 participants have undergone training in CPCR.

The Basic surgical skills include, suturing and knotting techniques various

procedural skills and training on Endotrainers to develop laparoscopic skills.

Undergraduates and postgraduates are trained at regular intervals.

Some of the workshops were conducted on Basic surgical skills in

association with Ethicon Institute of Medical Education, Chennai.

In April 2014, a National level research conference for undergraduates

(DEMEDCON) was organized by SDUAHER. During the pre-conference workshop,

about 60 students have undergone BLS training. After the commencement of new

“State of art” Skill lab with adequate organized space, CPCR programs are being

conducted along with basic surgical skills, orthopedic skills, pediatric resuscitation

skills. During Demedcon- 2015 about 90 students have been trained in BLS and 65

students in basic surgical skills. It was a successful program and excellent

feedback was given by the UG’s students.

FUTURE PLANS

1. To develop advanced clinical Skill lab.

2. To start cadaveric clinical skill lab.

3. To develop simulated Telerobotic skills.

4. To introduce a certificate course for Instructors in simulations and skill laboratory.

“CLINICAL SKILL AND JUDGEMENT INCREASE WITH AGE, UPTO DATE KNOWLEDGE AND PERFORMANCE DECREASE WITH AGE.”

centre for clinical skills & simulations · 2015. 9. 29. · basic surgical skills 90 60 ug’s...

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